Pub Date : 2023-07-18DOI: 10.1177/03080226231188014
J. Crow, Alexander Smith
{"title":"National Clinical Guideline for Stroke for the UK and Ireland: Part ll – The challenges and opportunities posed for occupational therapists","authors":"J. Crow, Alexander Smith","doi":"10.1177/03080226231188014","DOIUrl":"https://doi.org/10.1177/03080226231188014","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47898223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-14DOI: 10.1177/03080226231184992
Evelyn Álvarez, Maricel Garrido, F. Salech, Verónica A. Rojas, Nicole Jara, José I. Farías, D. Ponce, E. Tobar
Experts suggest implementing measures that include analgesia, sedation, delirium prevention and early mobilization (ASDM) in patients undergoing mechanical ventilation (MV) to reduce complications. However, there is limited evidence of occupational therapy in these patients. The aim of the research is to compare functional independence in patients undergoing MV of an intensive and early occupational therapy protocol versus to standard ASDM strategy. A prospective, multicenter, randomized clinical trial, with parallel groups (control and intervention groups). Participants will be hospitalized patients, over 18 years of age, admitted to the intensive care unit (ICU) and with the need of invasive MV. The intervention group will receive two daily 30-minute sessions of occupational therapy for 10 days. This study will research the effect of occupational therapy on functional independence, motor and cognitive status, evaluating at days 28 and 90. This work contributes to the theoretical and practical work of occupational therapists who work in the ICU. The implementation of protocols of occupational therapy in mechanically ventilated patients can contribute to the independence and functionality of patients. Our research aims to contribute to the generation of systematized, organized, and feasible protocols that can be implemented in ICU. ClinicalTrials.gov NCT04819529
{"title":"Early occupational therapy in mechanically ventilated patients improves functional status: Study protocol","authors":"Evelyn Álvarez, Maricel Garrido, F. Salech, Verónica A. Rojas, Nicole Jara, José I. Farías, D. Ponce, E. Tobar","doi":"10.1177/03080226231184992","DOIUrl":"https://doi.org/10.1177/03080226231184992","url":null,"abstract":"Experts suggest implementing measures that include analgesia, sedation, delirium prevention and early mobilization (ASDM) in patients undergoing mechanical ventilation (MV) to reduce complications. However, there is limited evidence of occupational therapy in these patients. The aim of the research is to compare functional independence in patients undergoing MV of an intensive and early occupational therapy protocol versus to standard ASDM strategy. A prospective, multicenter, randomized clinical trial, with parallel groups (control and intervention groups). Participants will be hospitalized patients, over 18 years of age, admitted to the intensive care unit (ICU) and with the need of invasive MV. The intervention group will receive two daily 30-minute sessions of occupational therapy for 10 days. This study will research the effect of occupational therapy on functional independence, motor and cognitive status, evaluating at days 28 and 90. This work contributes to the theoretical and practical work of occupational therapists who work in the ICU. The implementation of protocols of occupational therapy in mechanically ventilated patients can contribute to the independence and functionality of patients. Our research aims to contribute to the generation of systematized, organized, and feasible protocols that can be implemented in ICU. ClinicalTrials.gov NCT04819529","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43982445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-14DOI: 10.1177/03080226231181018
Aisling Bourke, Una O’Connor, Bryan Boyle, Jessica Kennedy, H. Lynch
Introduction: Developmental coordination disorder (DCD) significantly impacts a child’s motor skills and ability to learn and perform self-care and academic tasks. Telehealth is a rapidly emerging service delivery model, ensuring expanded access to services and continuity of care. Many benefits to the use of telehealth have been identified; yet, there is a dearth of published evidence available on the experiences of parents of children with DCD. Aim: The aim of this study was to explore parents’ experiences of implementing a telehealth motor skills programme for their child with DCD. Method: This study utilised a qualitative descriptive approach to best capture parents’ experiences of a telehealth programme. Data were collected through in-depth, semi-structured interviews with eight participants and analysed using thematic analysis. Measures to ensure the trustworthiness of the study were observed within the naturalistic paradigm comprising criteria of credibility, transferability, dependability and confirmability. Findings: This study uncovered three major themes: (1) Parents in the dark, (2) telehealth in the family and (3) telehealth: what success looks like. Ten further subthemes highlighted the factors for success and parents’ considerations for future service delivery. Conclusion: Challenges for parents in accessing traditional occupational therapy services present an opportunity to explore alternative means of delivery such as telehealth. Parents, however, are clear in their preference for a blended approach for future services.
{"title":"Bringing therapy home: Exploring parents’ experiences of telehealth for children with developmental coordination disorder","authors":"Aisling Bourke, Una O’Connor, Bryan Boyle, Jessica Kennedy, H. Lynch","doi":"10.1177/03080226231181018","DOIUrl":"https://doi.org/10.1177/03080226231181018","url":null,"abstract":"Introduction: Developmental coordination disorder (DCD) significantly impacts a child’s motor skills and ability to learn and perform self-care and academic tasks. Telehealth is a rapidly emerging service delivery model, ensuring expanded access to services and continuity of care. Many benefits to the use of telehealth have been identified; yet, there is a dearth of published evidence available on the experiences of parents of children with DCD. Aim: The aim of this study was to explore parents’ experiences of implementing a telehealth motor skills programme for their child with DCD. Method: This study utilised a qualitative descriptive approach to best capture parents’ experiences of a telehealth programme. Data were collected through in-depth, semi-structured interviews with eight participants and analysed using thematic analysis. Measures to ensure the trustworthiness of the study were observed within the naturalistic paradigm comprising criteria of credibility, transferability, dependability and confirmability. Findings: This study uncovered three major themes: (1) Parents in the dark, (2) telehealth in the family and (3) telehealth: what success looks like. Ten further subthemes highlighted the factors for success and parents’ considerations for future service delivery. Conclusion: Challenges for parents in accessing traditional occupational therapy services present an opportunity to explore alternative means of delivery such as telehealth. Parents, however, are clear in their preference for a blended approach for future services.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"86 1","pages":"714 - 722"},"PeriodicalIF":1.3,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43936281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-13DOI: 10.1177/03080226231183291
A. Yong, D. Haines, Leonard Joseph Henry Joseph
Background: Access to housing for people with intellectual disabilities is often constrained by lack of choice, control and can often be inappropriate or unsafe. To enable people to remain at home and participate in their occupations, a collation and review of theories and models supporting good home environment design offers a view from which practice could be advanced. Method: A scoping review was used to map the literature on theories and models on home environmental designing, which can have influence on the occupational performance and participation of people with intellectual disabilities. The theories and models found were analysed using the lens of the Person-Environment-Occupation-Performance model. Results: Four themes supporting the understanding of environmental home design that can influence participation and well-being were found. These were offering safety and comfort; providing control and choice to manage stress; offering skill acquisition for continued learning and interest; and the person–environment interaction for function and participation. The themes are discussed in relation to participation in occupation and well-being for people with intellectual disabilities. Conclusion: The study contributes knowledge to practitioners and stakeholders on theories and models of home environment design which could support the occupational performance, participation and well-being of people with intellectual disabilities.
{"title":"Home environment design theories and models related to the occupational performance, participation and well-being of people with intellectual disabilities: A scoping review","authors":"A. Yong, D. Haines, Leonard Joseph Henry Joseph","doi":"10.1177/03080226231183291","DOIUrl":"https://doi.org/10.1177/03080226231183291","url":null,"abstract":"Background: Access to housing for people with intellectual disabilities is often constrained by lack of choice, control and can often be inappropriate or unsafe. To enable people to remain at home and participate in their occupations, a collation and review of theories and models supporting good home environment design offers a view from which practice could be advanced. Method: A scoping review was used to map the literature on theories and models on home environmental designing, which can have influence on the occupational performance and participation of people with intellectual disabilities. The theories and models found were analysed using the lens of the Person-Environment-Occupation-Performance model. Results: Four themes supporting the understanding of environmental home design that can influence participation and well-being were found. These were offering safety and comfort; providing control and choice to manage stress; offering skill acquisition for continued learning and interest; and the person–environment interaction for function and participation. The themes are discussed in relation to participation in occupation and well-being for people with intellectual disabilities. Conclusion: The study contributes knowledge to practitioners and stakeholders on theories and models of home environment design which could support the occupational performance, participation and well-being of people with intellectual disabilities.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"86 1","pages":"665 - 677"},"PeriodicalIF":1.3,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48901312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-12DOI: 10.1177/03080226231183293
Leisle Ezekiel, J. J. Veiga, Tomás Ward, H. Dawes, J. Collett
Fatigue after acquired brain injury (ABI) leads to detrimental changes in ABI survivors’ daily activities and participation. There is a need to capture individual’s experience of fatigue as it happens, to better support self-management of fatigue. To investigate the usability of a real-time tracker of fatigue and activity (using ecological momentary assessment delivered by a smartphone application) and the feasibility of capturing activity and environmental factors using phone sensors. Participants wore an activity monitor and completed up to eight surveys a day on a smartphone app, for 6 days, completed the system usability scale (SUS) and were interviewed on their views of using the app. Interview transcripts were analysed using qualitative content analysis. Agreement between data from the phone’s sensors and the activity monitor was analysed using Kappa statistics. Seven participants completed between 11 and 58 surveys. Mean score on the SUS indicated good perceived usability of the app. Phone sensors did not reliably capture physical activity or background noise. Participants found the app easy to use and perceived self-monitoring to help their understanding of fatigue. A fatigue-tracking app may be acceptable to ABI survivors and has potential to aid self-management of fatigue.
{"title":"Exploring the usability of a smartphone application to monitor fatigue and activity for people with acquired brain injury","authors":"Leisle Ezekiel, J. J. Veiga, Tomás Ward, H. Dawes, J. Collett","doi":"10.1177/03080226231183293","DOIUrl":"https://doi.org/10.1177/03080226231183293","url":null,"abstract":"Fatigue after acquired brain injury (ABI) leads to detrimental changes in ABI survivors’ daily activities and participation. There is a need to capture individual’s experience of fatigue as it happens, to better support self-management of fatigue. To investigate the usability of a real-time tracker of fatigue and activity (using ecological momentary assessment delivered by a smartphone application) and the feasibility of capturing activity and environmental factors using phone sensors. Participants wore an activity monitor and completed up to eight surveys a day on a smartphone app, for 6 days, completed the system usability scale (SUS) and were interviewed on their views of using the app. Interview transcripts were analysed using qualitative content analysis. Agreement between data from the phone’s sensors and the activity monitor was analysed using Kappa statistics. Seven participants completed between 11 and 58 surveys. Mean score on the SUS indicated good perceived usability of the app. Phone sensors did not reliably capture physical activity or background noise. Participants found the app easy to use and perceived self-monitoring to help their understanding of fatigue. A fatigue-tracking app may be acceptable to ABI survivors and has potential to aid self-management of fatigue.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45944307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-08DOI: 10.1177/03080226231183281
Robin Newman, J. Kaldenberg, Laura Stursberg, Brianna Pinto, Christine Jimenez, Kara Glazer
Introduction: Parenting is a valued and complex role that is shaped by culture and context, which can be significantly impacted by a cancer diagnosis. This scoping review explored the unmet supportive care needs and impact on daily life for parents living with and beyond cancer. Methods: We used the PRISMA extension for scoping reviews (PRISMA-ScR) reporting guidelines to conduct a scoping review of the literature. Peer-reviewed literature published between January 2006 and December 2021 was searched using five databases: CINAHL, PsycINFO, PubMed, EMBASE, and Web of Science. Results: A total of 47 articles were included in the review representing 14 countries. Unmet supportive care needs persist across physical, spiritual, psychological, social, informational, practical, emotional domains, regardless of cancer diagnosis, stage of cancer or phase of the cancer care continuum. These unmet needs significantly impacted the daily lives of mothers and fathers living with and beyond cancer throughout studies. Conclusion: The results from this review highlight the range of reported supportive care needs of parents and its impact potentially contributing to occupational disruption. This provides a unique opportunity for occupational therapy practitioners to contribute to the occupational needs of parents living with and beyond cancer as an integral member of the interprofessional cancer care team.
简介：养育子女是一个受文化和背景影响的有价值和复杂的角色，这可能会受到癌症诊断的显著影响。这项范围界定审查探讨了癌症患者及其后父母未满足的支持性护理需求及其对日常生活的影响。方法：我们使用PRISMA范围审查扩展（PRISMA-ScR）报告指南对文献进行范围审查。使用五个数据库搜索2006年1月至2021年12月发表的同行评审文献：CINAHL、PsycINFO、PubMed、EMBASE和Web of Science。结果：共有47篇文章被纳入综述，代表14个国家。无论癌症诊断、癌症阶段或癌症护理连续性阶段如何，在身体、精神、心理、社会、信息、实践和情感领域仍存在未得到满足的支持性护理需求。在整个研究过程中，这些未满足的需求显著影响了患有癌症和患有癌症的母亲和父亲的日常生活。结论：这篇综述的结果突出了报告的父母支持性护理需求的范围及其可能导致职业中断的影响。这为职业治疗从业者提供了一个独特的机会，作为跨专业癌症护理团队的一员，为癌症患者及其后的父母的职业需求做出贡献。
{"title":"Parents living with and beyond cancer: A scoping review of unmet supportive care needs and impact on daily life","authors":"Robin Newman, J. Kaldenberg, Laura Stursberg, Brianna Pinto, Christine Jimenez, Kara Glazer","doi":"10.1177/03080226231183281","DOIUrl":"https://doi.org/10.1177/03080226231183281","url":null,"abstract":"Introduction: Parenting is a valued and complex role that is shaped by culture and context, which can be significantly impacted by a cancer diagnosis. This scoping review explored the unmet supportive care needs and impact on daily life for parents living with and beyond cancer. Methods: We used the PRISMA extension for scoping reviews (PRISMA-ScR) reporting guidelines to conduct a scoping review of the literature. Peer-reviewed literature published between January 2006 and December 2021 was searched using five databases: CINAHL, PsycINFO, PubMed, EMBASE, and Web of Science. Results: A total of 47 articles were included in the review representing 14 countries. Unmet supportive care needs persist across physical, spiritual, psychological, social, informational, practical, emotional domains, regardless of cancer diagnosis, stage of cancer or phase of the cancer care continuum. These unmet needs significantly impacted the daily lives of mothers and fathers living with and beyond cancer throughout studies. Conclusion: The results from this review highlight the range of reported supportive care needs of parents and its impact potentially contributing to occupational disruption. This provides a unique opportunity for occupational therapy practitioners to contribute to the occupational needs of parents living with and beyond cancer as an integral member of the interprofessional cancer care team.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"86 1","pages":"599 - 614"},"PeriodicalIF":1.3,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43987781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-08DOI: 10.1177/03080226231184994
Danielle Byrne, Liana S Cahill, C. Barr, Stacey George
Sensory impairment of the upper limb is common after stroke and negatively impacts a stroke survivor’s recovery. The acute phase is a critical time for the identification of post-stroke somatosensory impairments and occupational therapists have a key role in the acute stroke setting. Sensory assessment and treatment practices of occupational therapists working in acute stroke settings are largely unknown. This study aims to describe current clinical practice and identify the barriers and enablers for the assessment of sensory impairment in patients post stroke within acute stroke units. A mixed-methods approach was utilised, with an Australian national cross-sectional online survey of occupational therapists ( n = 85) and state-based focus groups ( n = 2). Descriptive analyses and thematic analysis were conducted. The majority of clinicians (78%) use non-standardised measures to assess for somatosensory impairment. Three qualitative themes were identified: acute setting contextual factors, individual patient characteristics and priorities, and clinician knowledge and perceived benefits. Occupational therapists working within acute stroke units are aware of the importance of assessing sensory impairment of the upper limb post stroke. However, the majority use non-standardised approaches and called for a standardised quick-to-administer tool kit that is readily available in acute stroke units.
{"title":"Assessment of sensory impairment of the upper limb post-stroke by occupational therapists within the acute setting: A mixed methods study exploring current clinical practice","authors":"Danielle Byrne, Liana S Cahill, C. Barr, Stacey George","doi":"10.1177/03080226231184994","DOIUrl":"https://doi.org/10.1177/03080226231184994","url":null,"abstract":"Sensory impairment of the upper limb is common after stroke and negatively impacts a stroke survivor’s recovery. The acute phase is a critical time for the identification of post-stroke somatosensory impairments and occupational therapists have a key role in the acute stroke setting. Sensory assessment and treatment practices of occupational therapists working in acute stroke settings are largely unknown. This study aims to describe current clinical practice and identify the barriers and enablers for the assessment of sensory impairment in patients post stroke within acute stroke units. A mixed-methods approach was utilised, with an Australian national cross-sectional online survey of occupational therapists ( n = 85) and state-based focus groups ( n = 2). Descriptive analyses and thematic analysis were conducted. The majority of clinicians (78%) use non-standardised measures to assess for somatosensory impairment. Three qualitative themes were identified: acute setting contextual factors, individual patient characteristics and priorities, and clinician knowledge and perceived benefits. Occupational therapists working within acute stroke units are aware of the importance of assessing sensory impairment of the upper limb post stroke. However, the majority use non-standardised approaches and called for a standardised quick-to-administer tool kit that is readily available in acute stroke units.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49643920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-04DOI: 10.1177/03080226231184989
Tina Helle, Å. Brandt, S. M. Larsen
Knowledge about how mobility devices are integrated into occupational performance is important to improve participation in daily life among users and assistive technology provision. This study aimed to identify and synthesise literature on how mobility device users integrate their devices into occupational performance. A narrative review was conducted with a systematic search in PubMed, CINAHL, PsycINFO and SocINDEX for scientific, original, peer-reviewed journal publications in the English or Scandinavian languages. Following search terms were used: mobility devices, occupational performance and synonyms. Publications were screened and read, and data were extracted by two authors independently. A total of 4088 hits led to the identification of six publications. Two categories were identified: (1) how mobility devices are integrated into occupational performance and (2) for what types of occupations beyond mobility are mobility devices used for; seven types were revealed. Mobility devices are integrated into occupations in unique ways to the individual users, shaping how occupations are performed and are used for different types of occupations beyond mobility. Since mobility device use is situational, it is suggested to investigate assistive technology use, applying a transactional perspective to improve assistive technology provision to increase fulfilment of users’ needs and preferences.
{"title":"How do mobility device users integrate their devices into occupational performance? A narrative literature review","authors":"Tina Helle, Å. Brandt, S. M. Larsen","doi":"10.1177/03080226231184989","DOIUrl":"https://doi.org/10.1177/03080226231184989","url":null,"abstract":"Knowledge about how mobility devices are integrated into occupational performance is important to improve participation in daily life among users and assistive technology provision. This study aimed to identify and synthesise literature on how mobility device users integrate their devices into occupational performance. A narrative review was conducted with a systematic search in PubMed, CINAHL, PsycINFO and SocINDEX for scientific, original, peer-reviewed journal publications in the English or Scandinavian languages. Following search terms were used: mobility devices, occupational performance and synonyms. Publications were screened and read, and data were extracted by two authors independently. A total of 4088 hits led to the identification of six publications. Two categories were identified: (1) how mobility devices are integrated into occupational performance and (2) for what types of occupations beyond mobility are mobility devices used for; seven types were revealed. Mobility devices are integrated into occupations in unique ways to the individual users, shaping how occupations are performed and are used for different types of occupations beyond mobility. Since mobility device use is situational, it is suggested to investigate assistive technology use, applying a transactional perspective to improve assistive technology provision to increase fulfilment of users’ needs and preferences.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42521878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.1177/03080226231181019
K. Harper, E. Mast, Grace Carter, Trey Katnich, Vincent Oldham, Claire Morrisby
Prompt identification of patients susceptible to falls is required by occupational therapists to initiate early falls prevention and management strategies. This study identified the intrinsic and extrinsic risk factors of patients who experience early inpatient falls (within 48 hours of admission). A retrospective case-control study was completed at a tertiary hospital. Data were extracted from medical records. Adults aged 18 years and older, admitted with any diagnosis, to any ward within the hospital between July 2019 and June 2020 were included. Cases were identified as those who fell within 48 hours of admission and controls did not experience a fall. The study sample included 218 patients (109 cases and 109 control patients). Most falls occurred in the patient’s room ( n = 54) or bathroom ( n = 47), as a result of slipping ( n = 50) or while patients were toileting ( n = 32). Multivariate regression analysis identified significant predictors of inpatient falls, including unassisted mobilisation (odds ratio (OR) 5.25), impaired balance (OR 7.25), reduced muscle strength (OR 5.25) and impulsivity (OR 19.57). Receiving occupational therapy reduced risk of falling by 81%. Falls risk factors that are predictive of early inpatient falls should be identified at admission and used to prioritise patients for occupational therapy.
{"title":"Prioritising patients for hospital occupational therapy to reduce inpatient falls: A retrospective case-control study to identify predictive patient falls risk factors","authors":"K. Harper, E. Mast, Grace Carter, Trey Katnich, Vincent Oldham, Claire Morrisby","doi":"10.1177/03080226231181019","DOIUrl":"https://doi.org/10.1177/03080226231181019","url":null,"abstract":"Prompt identification of patients susceptible to falls is required by occupational therapists to initiate early falls prevention and management strategies. This study identified the intrinsic and extrinsic risk factors of patients who experience early inpatient falls (within 48 hours of admission). A retrospective case-control study was completed at a tertiary hospital. Data were extracted from medical records. Adults aged 18 years and older, admitted with any diagnosis, to any ward within the hospital between July 2019 and June 2020 were included. Cases were identified as those who fell within 48 hours of admission and controls did not experience a fall. The study sample included 218 patients (109 cases and 109 control patients). Most falls occurred in the patient’s room ( n = 54) or bathroom ( n = 47), as a result of slipping ( n = 50) or while patients were toileting ( n = 32). Multivariate regression analysis identified significant predictors of inpatient falls, including unassisted mobilisation (odds ratio (OR) 5.25), impaired balance (OR 7.25), reduced muscle strength (OR 5.25) and impulsivity (OR 19.57). Receiving occupational therapy reduced risk of falling by 81%. Falls risk factors that are predictive of early inpatient falls should be identified at admission and used to prioritise patients for occupational therapy.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47275824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.1177/03080226231169825
Liz Cade
This paper draws on a study and its findings that set out to explore why some students appear to thrive, turning placement experiences into positive empowering opportunities despite the challenges, where others may not. Findings established a broader application beyond placements to inform curriculum design and delivery that nurtures professionalism, competence and identity from pre-admission to transition into practice as a journey of growth and development. A mixed-methods approach was adopted. Questionnaires and interviews gathered data from two cohorts in traditional ( n = 25) or role-emerging placements ( n = 13). An interpretive approach was employed for the qualitative data. The quantitative data underwent statistical analysis. Students in role-emerging placements scored higher in resilience prior to and developed greater resilience as a consequence. These students scored higher in traits of openness, conscientiousness, extraversion and agreeableness and were more emotionally stable compared with students in traditional placements. Agreeableness was positively correlated with greater resilience in these students. Curricula design and delivery should embed opportunities throughout programmes of study enabling students to nurture an openness to new experiences, with positive risk taking, building an ability to thrive. Understanding individual differences in students informs the development of competence and identity pivotal for transition into practice.
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